@article{ref1,
title="Alterations in the neuroendocrinological stress response to acute psychosocial stress in adolescents engaging in nonsuicidal self-injury",
journal="Psychoneuroendocrinology",
year="2012",
author="Kaess, Michael and Hille, Markus and Parzer, Peter and Maser-Gluth, Christiane and Resch, Franz and Brunner, Romuald",
volume="37",
number="1",
pages="157-161",
abstract="OBJECTIVE: To investigate the neuroendocrinological stress response to acute psychosocial stress in a clinical sample of female adolescents engaging in nonsuicidal self-injury (NSSI). METHODS: The Trier Social Stress Test (TSST), a standardized psychosocial stress protocol, was performed in 14 female patients who engaged in NSSI and 14 healthy control subjects. NSSI was assessed by the Functional Assessment of Self-Mutilation (FASM). Salivary cortisol, heart rate, and affective states, assessed by the Positive and Negative Affect Schedule (PANAS), were measured during the TSST. RESULTS: We found an attenuated cortisol response to acute psychosocial stress in female adolescents with NSSI, whereas no group differences were observed in heart rate and emotional response to the TSST. CONCLUSIONS: These findings indicate that the HPA axis is hyporesponsive in adolescents with NSSI. Therefore, reduced secretion of cortisol could play a role in promoting vulnerability of these individuals to acute stress and maladaptive stress responses.<p /> <p>Language: en</p>",
language="en",
issn="0306-4530",
doi="10.1016/j.psyneuen.2011.05.009",
url="http://dx.doi.org/10.1016/j.psyneuen.2011.05.009"
}